35例鼻眼相关疾病的诊治分析

目的：回顾分析鼻眼相关疾病的诊治结果，提高鼻眼相关疾病的诊治水平。方法:回顾分析35例鼻眼相关疾病患者的临床资料。结果:35例中, 鼻源性眼眶蜂窝织炎6例，外伤性鼻眶骨折、视神经管骨折4例，鼻窦黏液囊肿11例，内翻性乳头状瘤3例，鼻窦恶性肿瘤11例。鼻眼病变特征：炎性病变以眶壁破坏吸收为主，良性肿瘤则表现为眶壁受压移位，恶性肿瘤以眶壁破坏为主。结论:鼻窦与眼眶关系密切, CT扫描有助于此区域病变的早期诊断、指导治疗及观察预后;良性肿瘤以手术切除为主,恶性肿瘤需采用手术加放疗等综合治疗。

Analysis of 35 cases of naso-orbit related diseases

Objective: To retrospectively analyze the results of diagnosis and treatment and enhance the diagnostic and therapeutic level of naso orbit related diseases. Method: Thirty five cases of naso orbital diseases were analyzed retrospectively. Results: Of the 35 cases, rhinogeous orbital phlegmon was found in 6, traumatic naso orbital and optic canal fracture in 4, mucocele of nasal sinus in 11, inverting papilloma of nasal cavity and nasal sinus in 3, and malignant tumor in 11. The main pathologic characteristics were as follows: bony absorption of orbit wall in inflammation disorder; compression, displacement and absorption of orbit wall in benign tumor; and bony destruction in malignant neoplasm. Conclusions: Nasal and orbital organs are closely anatomically related. CT and MRI are important in early diagnosis and treatment of naso orbital related diseases. Treatment for benign tumors is mainly by operation, while malignant neoplasms should be treated by combination of operation and radiotherapy, etc.